行动呼吁：肿瘤学中应对倦怠和道德困境的伦理委员会圆桌会议建议
A Call to Action: Ethics Committee Roundtable Recommendations for Addressing Burnout and Moral Distress in Oncology.
机构信息
University of Chicago Medicine, Chicago, IL.
University of Washington Medical Center, Seattle, WA.
出版信息
JCO Oncol Pract. 2020 Apr;16(4):191-199. doi: 10.1200/JOP.19.00806. Epub 2020 Mar 30.
Abstract
Oncologist well-being is critical to initiating and maintaining the physician-patient relationship, yet many oncologists suffer from symptoms of burnout. Burnout has been linked to poor physical and mental health, as well as increased medical errors, patient dissatisfaction, and workforce attrition. In this Call to Action article, we discuss causes of and interventions for burnout and moral distress in oncology, highlight existing interventions, and provide recommendations for addressing burnout and improving well-being at the individual and organizational levels to deliver ethical, quality cancer care.
摘要
肿瘤学家的幸福感对于建立和维持医患关系至关重要，但许多肿瘤学家都患有倦怠症状。倦怠与身心健康状况不佳有关，还会增加医疗失误、患者不满和员工流失。在这篇行动呼吁文章中，我们讨论了肿瘤学中倦怠和道德困境的原因和干预措施，强调了现有的干预措施，并为解决倦怠和提高个人和组织层面的幸福感以提供合乎道德、高质量的癌症护理提供了建议。
相似文献
1
A Call to Action: Ethics Committee Roundtable Recommendations for Addressing Burnout and Moral Distress in Oncology.行动呼吁：肿瘤学中应对倦怠和道德困境的伦理委员会圆桌会议建议
JCO Oncol Pract. 2020 Apr;16(4):191-199. doi: 10.1200/JOP.19.00806. Epub 2020 Mar 30.
2
Burnout and Moral Distress in Oncology: Taking a Deliberate Ethical Step Forward to Optimize Oncologist Well-Being.肿瘤学中的职业倦怠与道德困扰：采取深思熟虑的道德举措以优化肿瘤学家的福祉。
JCO Oncol Pract. 2020 Apr;16(4):185-186. doi: 10.1200/OP.20.00030. Epub 2020 Mar 5.
3
Moral Distress and Resilience Associated with Cancer Care Priority Setting in a Resource-Limited Context.资源有限情境下癌症照护优先排序相关的道德困境和适应力
Oncologist. 2021 Jul;26(7):e1189-e1196. doi: 10.1002/onco.13818. Epub 2021 May 28.
4
Healthcare provider moral distress as a leadership challenge.医疗服务提供者的道德困扰是一项领导力挑战。
JONAS Healthc Law Ethics Regul. 2008 Oct-Dec;10(4):94-7; quiz 98-9. doi: 10.1097/NHL.0b013e31818ede46.
5
Ethical dilemmas and moral distress in oncology nursing practice.肿瘤护理实践中的伦理困境与道德困扰
Clin J Oncol Nurs. 2006 Dec;10(6):775-80. doi: 10.1188/06.CJON.775-780.
6
To Address Burnout in Oncology, We Must Look to Teams: Reflections on an Organizational Science Approach.要解决肿瘤学中的倦怠问题，我们必须着眼于团队：对组织科学方法的思考。
JCO Oncol Pract. 2020 Apr;16(4):e377-e383. doi: 10.1200/JOP.19.00631. Epub 2020 Feb 19.
7
Surviving Burnout as an Oncologist.肿瘤科医生如何从职业倦怠中恢复过来。
Curr Oncol Rep. 2023 Feb;25(2):131-134. doi: 10.1007/s11912-022-01351-8. Epub 2023 Jan 10.
8
Creating a Blueprint of Well-Being in Oncology: An Approach for Addressing Burnout From ASCO's Clinician Well-Being Taskforce.创建肿瘤学中的健康蓝图：从 ASCO 临床医生健康工作组解决倦怠的方法。
Am Soc Clin Oncol Educ Book. 2021 Jun;41:e339-e353. doi: 10.1200/EDBK_320873.
9
Occupational and Personal Consequences of the COVID-19 Pandemic on US Oncologist Burnout and Well-Being: A Study From the ASCO Clinician Well-Being Task Force.《COVID-19 大流行对美国肿瘤学家倦怠和健康的职业和个人影响：ASCO 临床医生健康工作组的一项研究》。
JCO Oncol Pract. 2021 Jul;17(7):e427-e438. doi: 10.1200/OP.21.00147. Epub 2021 Jun 21.
10
Gender differences in the effect of grief reactions and burnout on emotional distress among clinical oncologists.临床肿瘤学家中悲伤反应和职业倦怠对情绪困扰影响的性别差异。
Cancer. 2016 Dec 1;122(23):3705-3714. doi: 10.1002/cncr.30236. Epub 2016 Aug 10.
引用本文的文献
1
Burnout among oncology nurses and technicians in Morocco: Prevalence, risk factors, and structural equation modeling.摩洛哥肿瘤护理人员和技术人员的职业倦怠：患病率、风险因素及结构方程模型
Oncoscience. 2025 Jul 31;12:79-90. doi: 10.18632/oncoscience.623. eCollection 2025.
2
Grief Among Oncology Providers: Prevalence and Association with Burnout.肿瘤护理人员的悲伤情绪：患病率及其与职业倦怠的关联。
J Cancer Educ. 2025 Apr 11. doi: 10.1007/s13187-025-02615-0.
3
Relationship Between Ethical Climate and Burnout: A New Approach Through Work Autonomy.道德氛围与职业倦怠之间的关系：通过工作自主性的一种新方法。
Behav Sci (Basel). 2025 Jan 24;15(2):121. doi: 10.3390/bs15020121.
4
State of Professional Well-Being, Satisfaction, and Career Plans Among US Oncologists in 2023.2023年美国肿瘤学家的职业幸福感、满意度及职业规划状况
JCO Oncol Adv. 2025 Jan 29;2(1):e2400010. doi: 10.1200/OA.24.00010. eCollection 2025.
5
Qualitative Study of Health Care Team Perception of the Benefits and Limitations of Remote Symptom Monitoring.医疗团队对远程症状监测的益处与局限认知的定性研究
JCO Oncol Pract. 2025 Jun;21(6):853-861. doi: 10.1200/OP-24-00593. Epub 2024 Dec 11.
6
ESMO Resilience Task Force recommendations to manage psychosocial risks, optimise well-being, and reduce burnout in oncology.ESMO 韧性工作组关于管理肿瘤学中心理社会风险、优化幸福感和降低职业倦怠的建议。
ESMO Open. 2024 Oct;9(10):103634. doi: 10.1016/j.esmoop.2024.103634. Epub 2024 Sep 10.
7
Challenges and support systems of nurses caring for women with advanced cervical cancer in Accra, Ghana.加纳阿克拉护士照顾晚期宫颈癌妇女的挑战和支持系统。
BMC Palliat Care. 2024 Jul 16;23(1):174. doi: 10.1186/s12904-024-01507-2.
8
Burnout and career satisfaction in young neuro-oncology investigators: Results of the Society for Neuro-Oncology Young Investigator Survey.年轻神经肿瘤学研究人员的职业倦怠与职业满意度：神经肿瘤学会年轻研究人员调查结果
Neurooncol Pract. 2024 Mar 13;11(4):494-506. doi: 10.1093/nop/npae018. eCollection 2024 Aug.
9
Exploring the administrative burden faced by hematologists: a comprehensive study in Italy.探索血液科医生面临的行政负担：意大利的一项综合研究。
Glob Reg Health Technol Assess. 2024 Jul 3;11:161-168. doi: 10.33393/grhta.2024.3042. eCollection 2024 Jan-Dec.
10
Measuring Team Functioning During the COVID-19 Pandemic: Perspectives of Cancer Care Team Members.衡量新冠疫情期间的团队运作：癌症护理团队成员的观点
J Multidiscip Healthc. 2024 May 27;17:2623-2633. doi: 10.2147/JMDH.S448985. eCollection 2024.
本文引用的文献
1
Relationship Between Burnout, Professional Behaviors, and Cost-Conscious Attitudes Among US Physicians.美国医生职业倦怠、职业行为与成本意识态度之间的关系。
J Gen Intern Med. 2020 May;35(5):1465-1476. doi: 10.1007/s11606-019-05376-x. Epub 2019 Nov 16.
2
Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis.与医疗保健提供者倦怠和护理质量相关的证据：系统评价和荟萃分析。
Ann Intern Med. 2019 Oct 15;171(8):555-567. doi: 10.7326/M19-1152. Epub 2019 Oct 8.
3
Self-valuation: Attending to the Most Important Instrument in the Practice of Medicine.自我评价：关注医学实践中最重要的工具。
Mayo Clin Proc. 2019 Oct;94(10):2022-2031. doi: 10.1016/j.mayocp.2019.04.040. Epub 2019 Sep 19.
4
Compassion fatigue among oncologists: the role of grief, sense of failure, and exposure to suffering and death.肿瘤学家的同情疲劳：悲伤、失败感以及面对痛苦和死亡的作用。
Support Care Cancer. 2020 Apr;28(4):2025-2031. doi: 10.1007/s00520-019-05009-3. Epub 2019 Aug 8.
5
Effect of a Professional Coaching Intervention on the Well-being and Distress of Physicians: A Pilot Randomized Clinical Trial.专业辅导干预对医生幸福感和痛苦感的影响：一项试点随机临床试验
JAMA Intern Med. 2019 Oct 1;179(10):1406-1414. doi: 10.1001/jamainternmed.2019.2425.
6
Burnout in healthcare: the case for organisational change.医疗保健领域的职业倦怠：组织变革的必要性
BMJ. 2019 Jul 30;366:l4774. doi: 10.1136/bmj.l4774.
7
Healing the Professional Culture of Medicine.治愈医学的专业文化。
Mayo Clin Proc. 2019 Aug;94(8):1556-1566. doi: 10.1016/j.mayocp.2019.03.026. Epub 2019 Jul 11.
8
Cancer treatment and survivorship statistics, 2019.2019 年癌症治疗与生存统计
CA Cancer J Clin. 2019 Sep;69(5):363-385. doi: 10.3322/caac.21565. Epub 2019 Jun 11.
9
Estimating the Attributable Cost of Physician Burnout in the United States.估算美国医生倦怠的归因成本。
Ann Intern Med. 2019 Jun 4;170(11):784-790. doi: 10.7326/M18-1422. Epub 2019 May 28.
10
Changes in Burnout and Satisfaction With Work-Life Integration in Physicians and the General US Working Population Between 2011 and 2017.2011 年至 2017 年期间医生和美国普通工作人口的倦怠和工作-生活融合满意度变化。
Mayo Clin Proc. 2019 Sep;94(9):1681-1694. doi: 10.1016/j.mayocp.2018.10.023. Epub 2019 Feb 22.
Zotero 插件